GUZ-ELI-84

Code
GUZ-ELI-84
Mercy ID
V-01249-01
Encounter Date
06/17/2003
Last
Guzman
First
Elizabeth
DOB
05/08/1984
County
Cobb
Street
2345 Parkway Apt. U15
City
Smyrna
State
GA
Zip
30080-
Home
(404) 427-8902
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
YES
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Perez
Data Entry
K. Aleman